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Financial Assistance Application - The Living Breath Foundation

FIRST NAME

LAST NAME

PREFERRED PRONOUNS

DATE OF BIRTH

SOCIAL SECURITY NO.

STREET ADDRESS

CITY

STATE

POSTAL / ZIP CODE

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MISSION STATEMENT

The Living Breath Foundation is a non-profit organization created to help those living with Cystic Fibrosis.

We award scholarships for qualifying individuals who wish to further their education beyond the high school level. We also assist individuals and families with the added expenses associated with having Cystic Fibrosis, which include the extensive costs of prescription medication and medical equipment. In certain situations we provide financial assistance for individuals who have prolonged or frequent absence from work.

In addition to providing financial assistance, The Living Breath Foundations plans on producing new and inventive ways to raise awareness about the disease and what it takes to live with the illness.

JOIN OUR MAILING LIST

SOCIAL MEDIA

CONTACT

Ph: 831 392 5283

Em: Livingbreathfoundation@gmail.com

Mailing Address:

2031 Marsala Cir.

Monterey, CA 93940

NON PROFIT TAX ID 26-2725465

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